Individual
DR. AMANDA LEIGH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
665 112TH AVE NE, COOPERSTOWN, ND 58425-9264
(601) 870-0774
(701) 797-3328
Mailing address
665 112TH AVE NE, COOPERSTOWN, ND 58425-9264
(601) 870-0774
(701) 797-3328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R863756
MS
363LF0000X
Family Nurse Practitioner
Primary
R41616
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07736054
—
MS
Enumeration date
07/16/2009
Last updated
12/09/2016
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